4662 Parkridge Ct• CITY OF EAGAN
' 3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121 NQ' 9040
PHONE: 454-810b , ,
BUILDING PERMIT
T- A- FI' 1 JYrI T/GfY[
ReEe?pt # •
$ 106,000 nn,e .f 11t'1 Y n. ? Q v!S
,}[
S1te Ad ess YvUG Ytit(1?1t1Ulir. l.'1" Eroct Ef-
Lot ' slock c5ub P?R LIFr 2ND ^Iter ?
Percel No. ???-h -U
Repoir ?
W Name F''RA?? & ELI?ABETH SIEGEL Enloros ?
Move p
? Address De,.,,.,NLO C:?? vi
?+bffA ?12) 459-3609 "1Olish ?
City ? . Grode f-i
c
,F Name _
?? Address
City -
Name
Address
City
5 Kll Assessment _
452-5530 Water 8 Sew.
Pol ice
Fire
Eng.
Plonner
Council
Occupancy
Zonin9 Z
Firc Zone
?n
Type of Const.
# Stories
I hereby acknowledge that I have road this opplication ond stote that gldg. Off.
fhe inlormation is torrect ond ogree to comply with all applicoble ^?
Stote of Minnewto Statutes ond City of Eagon Ordinances.
Sipncture of PeRnittee .,._ iVERGY I30i1FS
. ,
.j ' Sq. Ft
P?es
Permit ' ` • 00
Surchorye , '?' } • 00
Plon check 224.00
5425.00
SAC
Water Conn. 470.00
Woter Meter c 3 • Q ()
Rood Unit 2 (' o • 00
Totol 00
A Building Permit is issued to: on the exprcss conditlon tlxal
otl work sholl be done in occordor4e witk ell opplicable Sfat? o'f?Minnesota Statutes ond City of Eaflon Ordinances.
Buildirq Officiot
?? .
Permit No. Permit Holder Misc. Permit No. Holder
PlumfNng
b
H.V.A.C. Y D f1e
Well
Water
'
Disp.
Sewer
Eaaric AQ?j77 ?0 1Yla,?? I ? ? ?7 • ?
InWeetion Date Insp. Othar
Footinqs r7 L ?
Foundetion
Freming
Rouph Plbp. ???,,/ ? ,?;?..
L ,
Rouph HVAC l ow
Inwlstion
Final Plbp.
Final HVAC ?. ?
Final
Water ??ibe Location:
VYsll
Sewsr
Pr. Disp.
??
0 CASH RECEIPT ?
CITY OF EAGAN
P. 0. BOX 21-199
EAGAN, MINNESOTA 55121
?. .
DATE 19
RfiC61VEq
PROM
AMOUNT $ _I
`
dc DOLLARS
100
E]CASH .[]YCHECK
•--7
FUNO CODE AMOl1MT
?
- ?
!
Thank You
BY
?
White-Payers Copy
Yellow-Posting Copy
Pink-File Copy
Receipt MECHANICAL PERMIT Permit No.
CITY OF EAGAN
Fee _.r.?
Fill in numbered spaces S/C
Type or Prini /egibly Tot
1. Date 2. Installation Cost
3. Job Address Lot Blk. Tract
4. Owner '
5. Contracior Phone
6. Address
7. City State Zip
8. Building Type: Residential C} Commercial ? Institutional ?
9. Work Description: New ? Add ? Alter ? Repair ?
10. Describe Fuel Type
11,
No. Enuinment 8TU - M. Ea.
Forced Air No. Equipment CFM
Ai
H
dli
Mfg. r
an
ng:
Boilers
Mfg. Mech, Exhaust
Unit Heater
Mfg. Other
Air Cond.
Mfg.
Gas, Piping Outleu
12. I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed :
for
Rough Final
Inspections: Date Insp. Date Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN 454-8100
f
Receipt l? ?f ?? PLUMBING PERMIT Permit No.
CITY OF EAGAN F?
? la prll in numbered spaces S/C . 5 V
Type or Prini legibly Tot. o? ?' • S G' '
1. Date 2. Installation Cost ?
3. Job Address : ;i +, -i-1ot Blk. Tract
i
4. Owner
nT?-r-II' _ ?.
5. Contractor
Phone L? ? ? , e'l.) ?
6. Address Ll L: h
7. City L/l cr ?-0 r_ _ State } r r,,-, Zip _-'3 :? 1--,I ?._
8. Building Type: Residential L?
9. Work Description: New C'3"
Commercial ? Institutional ?
Add ? Alter O Repair ?
r 10. Describe j- k! n,, i '> I.. I, L,r_' i.v,L ; L :.i .-
I 11.
No. Fixtures
Water Closet No. Fixtures
Cesspool/Drainfield
? Bath tubs Septic Tank
Lavatory Softner
? Shower Well
_L Kitchen Sink
? Urinal/Bidet
Laundry Tray Other
Floor Drains
Drinking Ftn.
? Slop Sink
Gas Piping Outlets
11 I hereby certify that the above information is true and correct, and I agree to
comply with all ordinances and codes governing this type of work.
Signed
for
Rough Final
Inspections: Date Insp. Dete Insp.
This is your permit when numbered and approved.
Approved CITY OF EAGAN
454-8100
? CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55123
(612) 681-4675
SITE ADDRESS:
. ! nt<?. i? i?it
PERMIT SUBTYPE:
I 1! ?t" ( 1 NrI',
! N !1 f
INSPECTI4N RECURD
PERMIT TYPE:
Permit Number:
Date Issued:
APPLICANT:
t b i..? ai,i - w c> r fc
TYPE OF WORK:
I kAM I Mri
0h/:'G1J<aA
Ai1i1 i I i tiM
I ftf MAI<F-'. R`,f=f'AI:A 11 1`1 ItM 1 I 1.'., 1ri 01111011 1111( /1NY fi I ft I k I F!1l lloIrh
Ir-
PermR No. PermR Molder Date Telephone !k
S/1N
PLUMBING
HVAC
ELECTRIC
ELECTRIC
InspecUon Dete Inap. Commsnta
Footings I ? /Az
Foundation
Framing
Rooflng
Rough Plbg.
Rough Htg.
Isul.
Fireplace
Final Fltg.
Orsat Test
Final Plbg. Plbg. Inspector - Notify Plumber
Consl. Meter
Engr./Plan
m? ??I99v
Deck Ftg.
Deck Final
Well
Pr. Disp.
7
? INSPECTION RECORD ? CITY OF EAGAN PERMIT TYPE: 1' 1' 1 +'t !"G
•. < ?,,.
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 , t,_? A ? • ? 1 060 4? 1
SITE ADDRESS: ??? i ?. r?? ?t: r ! APPLICANT:
?., `iFRiI?i;j ? i ., , i;. ? i?.;,
i . . ? ? . . ? • . 1? I ? ? . 1 • ti ! ? .. ? . .
PERMIT SIJ.BTYPE: TYPE OF WORK:
INSPECTION .• . .•
, j ;?..
1- 7
L I
Permit Holder Date Telephone i
PLUMBING
HVAC
Inspectlon Date Insp. Comments
FOOTINGS
FOUND
FRAMING
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC TEST
INSUI
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST
BLDG FINAL
DOMESTIC
METER
IRRIGATION
METER
FLUSH
MAINS
coNOUCnviTV
TEST '
HYDROSTATIC
TEST
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
?
.?
?S
?.:
CITY OF EAGAN Remarks ? i v ' `` I ? ' 1111 1 `? "
Addition PARKCLIFF 2ND ADDN Lot 6 aik 1 Parcel 10-56701-060-0
owner Street 4662 PARKRIDGE COl]RT ox' state EAGAN NBV 55123
4662 PARKRIDGB DRIVE
? Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF.
STREET RESTOR.
GRADING
SAN SEW TRUNK $ 293.00 A014372 8-6-84
SEWER LATERAL
WATERMAIN Tp 28.18 A014372 8-6-84
WATER LATERAL
WATER AREA 5 293.00 A014372 8-6-84
STORM SEW TRK %py g 514.08 A014372 8-6-84
STORM SEW LAT 'Ilt) 1983 283.60 56.72 S 170.16 A014372 8-6-84
CURB & GUTTER '
SIDEWALK
STREET LIGHT
ROAD UNIT 260.00 #43041 5-4-84
WATER CONN. 470.00
BUILDING PER. 9040
sAC 525.00 " "
PARK
CITY OF EAGAN
3830 Pilot Knob Road
P. 0. Box Y`i 199
E,nga?IVIW 55121
Ow Zoninp:
Owner: Wa -
Addreu:
Site Addrcss: ?
r No.•
Connection Charpe:
'
?
.:? ?, r
Ixe• ?r -,. ? ? a ?,?? pe
osit; 15.00 pc
R er No.: ? p
Permit Fee: 1 ?? . Qa nd
1 pre+ to aanphr wilh Nw Gtp ef l,oqaa Surc.twrge:
.
Ordinenau. Misc. Charges: •
. .
Totol:
By te Paid:
Date of insp.: Inap.:
'Y OF EAGAN
30 Pilot Knob Road
) Box 21199
ian, MN 55121
1
.?...
Address:
to am/Ig wMr !M Ci1y of iopw
WATER SERVICE PERMIT
PERMIT NO.:
DATE:
No. of Units: -
SEVNER SERVICE PERMlT
PERMIT NO.: DATE: -
No. of Units:
1_1.1?v k, ..
-+?j
42S.00 r
Conr?sttion Cha?ps:
Accavnt Deposih 15-00 P
Per?nit Fee: 10.07 P
SUfCF10NQl: ? r?
Misc. Gwrpes:
Total:
DaM Pald:
of Insp.:
WATER SERVICE PERMIT
ox "1199 PERMIT NO.: ?-- . I
MN 55121 DATE: . . 0-?.?;
,- -:
- ` No. of Units:
II
,eader No..
pm h eanplr whh !IN Gryr of Eagew
Connection Charpe: " • U
i 5. n
Account Deposit:
tr t
Permit Fee: 1"I.00
Surchorge: J V
. _ . .. _ T.
Mlsc. Chorfles:
Totol: ?
Dote Poid:
? - Y ? ???U CITY OF EAGAN Inclucle J_ SE'is of F?lUns,
I P,0 r f! l.fie3k@ of gt;r4w'(#
. BUILDING PERMiT APPLICATION 1 set ef, energy calculatic 4s.
To Be Used For ValuatiorT ?,?? vp D Date
Site Pddress 46 ? a Qafcrrn.?G? G?- pFFICE USE ONLY
Lot ? _-. Block Sec./Sub. Fsect Occupancy
Parcel # : ? ? -- 6 7 ° ? - o L- o - ? ? Alter Zoning R - ?
J Repair Fire Zone
Owner: f,Rt? ? LU -Z-M5 6411 S IE'C, E-L Enlarge _'iype of Const. T-..•..--
Address: I"1Ove # Stories ?j-
Dermlish Front ? ft.
City/Zip Cocle: Grade Depth ft.
Yhone #: 3ra_ 45T - 36 o q
Contractor: uc/Le1ehS,C- ? ?a,? ?amFS,??.
Arldress: `{6Sf iJic,oLs 0,7-
City/Zip Code: Ek t,-3 rn
Phone # c '-(51 - s- q S a
Arch./Eng..
T+Tater/Scwer
Police
Fire
?
Planner
Council
Bldg. Off.
APC
Surcl,arne 'S 3 '
Plan Check
SAC 2 -
Water Conn. -
Water Meter ?-
Road Unit _
9 L A -
Acldress:
City/'Lip Code:
Phone # : 'IrifAL 0 1 d q3 ° 0
CITY OP EAGAN
3830 Pilot Knob Road, P.O. Box 21-799, Eagan, MN 55121 lr Y 9040
PHONE: 454•8100
BUILDING PERMIT Receipt # G
To M wad br SF DWG/GAR Est. Volue $ 106 , 000 Date MAY 4 l9 84
Site Ad 4662 PARKRIDGE CT R3
ress Ered CC Occuponcy
Lot ? Block 1 Sec/sub. PARK CLIFF 2ND Alter ? Zoning Rl
Parcel No. 10-56701-060-01 Repolr ? Fire Zona
w Name BRAD & ELIZABETH SIEGEL
? cay reBUFFALO GRQ?p (312) 459-3609
? Name HERITAGE ENERGY HOMES INC
v? Address 4655 NICOLS RD
r City EAGAN phone 452-5950
Uw Name
?
x?Z Addresa
<W Gty Phone
1 hereby ackrwwledga thot I have read this appiication and stote that
the inlormation is correct and ogree to comply with oll opplicoble
Stafe of Minnesota Stotutes and City of Eagon Ordirwnces.
Sipnature of Permittea
A Building permit Is issued to:
all work shall be done in acca
Enlorge ? Type of Const. Vn
Move ? # Srories
Demolish ? Length 56
Grade ? Depth 34 Sq. Ft.-
Approrala Feea
Assessment _
Woter 8 $ew.
Police _
Fire
Enp.
Planner _
Council
Bldg. Off. _
APC
Permrt 5 4425. W
Surchorge 53 _ 00
Plon check 224-0 0
SAC 525-00
Woter Conn. 470- 0
Woter Meter ___fi3_0 0
Road Unit 76n - 00
rotol $2,043.00
HERITAGE ENERGY HOMES INKa express condition thai
?lico e Sta of, Minnetoro Statutes ond Ciry of Eagon Ordinances.
Buiiding Officiol
^l, REQUEST FOR ELECTRICAL INSPECTION ee-ooooi_oa
??`? rue for comoleti.g this /wm on back ot yellow copy.
?D 5-16-8?1
A('? 1 1q ry( 1 ?7 (? i5'(? h!See instXtions" Below Wark C`overed bv This Request
tl Rep. , Type of Builtl,ng AoPliancea wired Equipment Wiretl
Home Range Temporary Service
Duplex Water Heater Lighting Fixtures
Apt. Bwiding Dryer Electnc Heaun
Commercial Bldg. Furnace Silo Unloader
Industrial BIAg. Air Condinoner Buik Milk Tank
Farm OchNr peci v cherlSner,NVl
t er SUecity Other Oiher
ompute lnspection Fee Below
M Fae ervice ntrenca5ize A Fee Feaders/Subieedere p Fee Circmu
0 to ?Aps 0 to 30 Am s 0 to 30 Am
Above 200 qm>s 31 to 100 qmps 31 to 100 qm
Swimming Pool Above 100-Am s Above 100_Am s
Transformer5 Irngation Booms Pdrtial-'Other Pee
Signs Special Inspection S / E?
errerks OT?
/./e..N
Houeh-in Date
I, the rical
`' .??. Inspector, hereby
?'? cartifv tM1a1 the above
Final Dn[+e? inspeetian has been
. 5 ? d1-1, made.
IrIft npueet roIC 18 monMe iro.
This reQUest void (+ ?2? g
18 months iiom J7
A J57780 61
5- rb -ky
PA,? y-? . dv
Request D e Rre No. Fouyh-in Inspecuon
Hequnad?
?Raa-'N?y ?II Notity InsPec-
u
f ? Yos ?No , tor When fleatly
?,
wensed Electncal Contractor ? I hereby request inspection of abova
Owner electrical wark in slalleE at
SVeet A ress, Box or R e No. .
a CitY
ecuo . Township Nama or No. Hange o. Comny /
Q /6
Occu unt IPRINT) Phone No.
Power Suppl er
AAtlress
?+ ? I
??I1.L???
?
Elect al Contrecior JCompany Name) to
s Lmense No.
Con[rec
r'
C
?
n
a J G'?? ?
Mailmp AddresS ICOntracmr or Owner Mekin InqtailatioN
5? "-
Authorae i0n8ture ConVac r Own r MakinO hnstallation) Phone Numbar
T?C-`
MINNESOTA STpTE B AflD OF ELECTRICITY " TMIS INSPECTION NEQU?ST WILL NOT
Grigea-Midwey Bldg. - Noom N•191 BE AGCEPTED BY THE STATE BOARD
1821 University Ave., St. Peul. MN 55104 UNLESS PROPER INSPECTION FEE IS
oi....,e iFIII 'n7_2111 ENCLOSED.
oc+
224?oC+
5 1 5
4 7 L^
6 3 ^ ? C +
26C
20 G3'C L"
1 ,.
?
z/8a
?CITY OP EAGAPJ
? APPLIC1aTI0y FOR PERMIT
-" SEWER AND/OR WATER CO(VNECTIODI
(PLEASE PRCNi)
.
1) PROPER'PY ADDRFSS:
ik-r
Y
iaCca
-
I.EGAL, DFSCRZPTION: ?
L
? 1r-,' ?
(Lot,/A1 Subd?vision or Tax Patcel I.D. Nla[bei) ?
.'?. EYZS=G STR&?CISJRE, DATE 0F ORZGINAL BUILDING Pl=!IT ISSJANIGT::
tMar.tti/Year!
PRESENT 7,?`]Ii4;/PROPOSED IISE: ? R-1 SINQE FAMILY
O R-2 Dt7PiEc (2W0 UNIT5) ?
? R-3 i3ir*•-
? R-4 APAirIITS1T/CONDOMINIIN ( U[SIT'S)
? CYYJMEEtC7AL/REfAIIfOFF'ICE
E3 IAIDUSTRIAI. ' . ,
q IusrzlvricrAL/coMrMar
2) APPI,ICIADTI' (PLEASE PRINT) t
NAME: ?
ADDREss: 77,
crrY, sra,TE, zIP: ?„/e?. s-s--iaY
>
`.?
PxoNE:
3) PIIJMBER ? -.. PLEASE pNIMT F4R CITY USE OMLY:.
NAME: _(? l Y} ,e- ??ta?s rt 6? ra h `h 1?? k?rI ti
PLUMB LILENSE:
ADDRESS -,?
Active - ,
7?`.. f??• ?
CITY, SI7?TE
, ZIP: '-?{rm? n
,? y
nn Ss c.
Ex red
0 Pi
V
.
'MAS$ER-- MoE of Retprd '-
PI-IONE= J/?:5 PlUXBER LICENSE JJ ?
a ni ia
4) O(.-C(,-pAN"I•/Q,VN-g (PLfASE PRINT}
D7NME'
?
?
ADDItESS : z14 S S? l?Jc, A u?,S
R Sl
CITY, STATE, ZIP:
PEtONE:
S) INDICA:'E WfiICH PFS2MIT IS BEINC; REJ;-XFFSI'E.'D;
CONNECPION 'ICl CITY SEFIER
CYXv':IflCTION 'IC) CITY W11TER
? C'I'EiIIt (PLF.IaSE DES(,'RIF3E)
-_-
? F'? ,\.SE fIC1Ij7 11PPRCJVFi) PT`RmIT F'OIt PI(wK-UP BY ONE OF P,EV,7;.
Q?P=ySF. MAIL APPRO?
PERm.IT ^.n 1, 2, 3, (DABWE
T
(Circle or.e)
7) ST_c':A'.'ZE: fJ
? DA'PE
L?c :
.
,?
e-•?
i
? .
? 2/a4
t CITY OF EAGAN
APPLICATION FOR PERMIT
SEWER AND/OR WATER CONNECTIO:d
(PLEnSE PRINi)
1) PROPEE2'PY ADpRESS:
r,FrAr DE=PTT_C:I:
(LOt/Block/SLil?division or Ta;c Parcel I.D. NLUrber)
uST.°S;CiURE, I]A^E GF ORIG^:AL ::UZi.CL;G P.?'_?= ISSZ:?%C2':
? °==-?' -_- •
? P4ESr-`_ : ?^:I1:3-'/F7?C°CS=- li5E: ? R-1 SZIGL,F, r^ANSLY
? R-2 DUPLEX ('IA'a UiVITS)
? R-3 TCTAI?IHpiJSE (THR EE + =T5) ( UDTTTS)
? R-4 1pAR7P^:T/COj;DOMLN=2l ( iNI:S)
? CCMMERCSAI,/F2EI'AIL/OFFICE
? L?MUS'II2,T,%L
Q INSTITUTIONAL/GOVEp,'r,=
2) APPLIC-7= (PLEASE PRINT)
NF4ti1E:
ADDRESS:
CZTY, STATE, ZZ?: _
PHOVE:
j) pLLImBER PLEASE PRINT) FOR CITY USE ONIY
NAitiSE:
ADDRESS:
PIUHBERS LICENSE:
Q Active
CITY, STATE, ZIP: ? Ezpired
PHO
NE: Nat of Hecard
i PLIIMBER LICENSE #
arr nitia
q? ?PAN'j?/Cr,•,-,.? ? (YLtAJt YH1NI)
:
AonREss:
CITY, STATE, ZIP:
PFiO:IE:
5) INDICATE WIiICH PEP.MIT IS BEIIQG RDQUESTID:
? COtiNELT20N 'IO CITY SaIER
? CO..nv'ECTION TO CITY 4VATER
? CI'Y.F.Ft (PLEASE DESCRIBE)
b) L'VUlG?lc: O:lt?:
? PLFASE F?OLD P.PPROVID PERM-IT FOR PICi:-UP BY ONE OF ABOVE
?°LFLSE MAIL APPROVID PER.%LIT 'IO 1, 2, 3, 4 FIBOVE
(Circle one)
7) SI=M':2E: DATE:
!?l.I:aRi1AlA}IiilIE?Ll?fl??ffi?Y.7t? ^ '?? .,??,
?s?j?i ? M?F ?:ii:l? tir ? 1! Il?klf?.?R?:1C?.? f? f? ?????it• 6
F 0 R C I T Y U S E 0 N I Y
PERMIT '-` ISSUED
F_
FEL'S: $
io. v-o
$
$ !o -?. '--za
S
$
$ ?.= :••--o
$
$
$
$
$
S
$
$
S"?'iEn nrotiTi (T11CL::D- SLi°CHjicGE)
WATER PERf1IT (INCLUDE SURCHARGE)
WATER METEP,/COPPERHORN/OUTS2DE READER
WATEP. TAP (INCLUDE CORPORAT=CU STCP)
SEWER TAn
ACCOUNT DEPOS IT - SEiPER
ACCOUNT DEPOSIT - WATER
WAC
SAC
TRUiVK WATER ASSESSi-1E:;T
TRliNK SE;4ER ASSESSMENT
LATERAL BENEFIT/TRUNK SEiPER
LATERAL BEVEFIT/TRUNK WATER
OTHER
TOTPL
$ lZl AM0UNT PAID/RECEIPT # l,l...31
DOES UTILITY CONNECTION REQUIRE EXCAVATION IN POBLIC RZGHT OF WAY?
YES IF YES, THEN A"PERMIT FOR WORK WITHIN
? PUBLIC ROADWAY" MUST BE ISSUED BY THE
NO ENGINEERING DIVISION. LIST AS A CONDI-
TION.
SUBJECT TO THE FOLL0:4ING CONDITIONS:
APPROVED BY:
T Z T L E:„?(?,?
DATE: ? s - 5? el,'
t y
lesmwew wmi+??= MR
-?CITY OF?EAGAN PERMIT
3830 Pilot Knob Road PERMITTYPE: guxLnING
Eagan, Minnesota 55123 Permit Number. 023658
(612) 681-4675 Date Issued: 0 5/ Z 0/ 9 4
SITE ADDRESS:
4662 PARKRTDGE CT
LOT: 6 BLOCK: 1
PARKGLIFF 2ND
DESCRIPTtON:
BGilding?-Permit Type
E3uilding We>r_k Type
L -
.
r
t
GARAGE/ACCESSORY
flDDITION
. 1 tf j t"s { IF
l, tl??-`\V? ''i:1bu _.;
REMARKS
A SEPARATE PERMIT TS REQUZRED FOR ANY ELECTRICAI WORK
FEE SUMMARY:
VALUA7TON
Base Fee $81.00
Surcharge $3.00
7ota1 Fee $84.00
CONTRACTOR:
$6,000
OWNER: -- Applicant -
ANAST PETE
4662 PARKRIDGE CT
EA6AN MN 55123
(612)688-0678
T hereby acknowledg6 that Z have read this
information is carrect and agpee ta qpnaply
StaLutes and City o'F Ea•gan flrdinances.
?
applieation erTd state that the
wfth all appliesble State Af Mn.
I
APPUCANUPERMI
SIGNATURE D?1.? l1 ?PA,f? _ ? ?
I'S ED 6 SIG ATURE
CITY OF EAGAN
1994 BUILDING PERMIT APPLICATION
681-4675
=?'
- - - - - - - - - - - - - -
SINGLE & MULTI-FAMILY 2 sets of plans, 3 registered site surveys, 1 copy of energy
calcs.
COMMERCIAI 2 sets of architectural & structural plans, 1 set of
specifications, i copy af energy calcs.
Penalty applies: 1) when permit is typed, but not picked up by last working day of month
in which request is made, 2} address is changed or 3) iat change is requested once permit
is issued.
Date Valuation of work
Site Address:_
STREET SUITE tl
^
Tenant Name: (commercial only) f
LOT _(?O BLOCK SUSD.
e-?
d
>0172
P.I.D. #
,
Nb A2
Descri tion of work: Co 4 a .L
The applicant is: El/owner ? Contractor ? Other (Describe)
Name AA171??% P,f7_-'4- Phone ?fsfS-O?7h
Property LASi FIRST
Owner Address C?7-
STREET STE #
City State //,,(/V Zip Q0
Company ?,4 74 A'? J Phane
Contractor Address License # Exp.
City State Zip
Company Phone
Architect/
Engineer Name Registration #
Address '
City State Zip
Sewer & water licensed plumber Processing time for
sewer & water permits is two days once area has been approved.
I hereby acknowledge that I have read this application and state that the information is
correct and agree to comply with all applicable State of Minnesota Statutes and City of
Eagan Ordinances.
Signature of Appl icant:
L.
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation 0 06 Duplex ? 11 Apt./Ladging
? 02 SF Dwg. ? 07 4-Plex ? 12 Multi. Misc.
? 03 SF Addition ? 08 8-Plex p9' 13 Garage/Accessory
? 04 SF Porch ? 09 12-Plex ? 14 Fireplace
? 05 SF Misc. ? 10 Multi. Add'1. ? 15 Deck
WORK TYPE
0'31 New ? 33 Alterations ? 35 Tenant Finish
[a 32 Addition ? 34 Repair O 36 Move
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC bccupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
Engineering
REQUIRED INSPECTIONS
? .Site
? Yallboard
? 16 Basement Finish
? 17 Swim Pool
? 18 Comm./Ind.
? 19 Comm.iInd. Misc.
? 20 Public Facility
? 21 Miscellaneous
0 37 Demolish
Basement sq. ft. MWCC 3ystem
lst F1. sq. ft. City Water
2nd F1. sq. ft. PRV Required
Sq. Ft. total Booster Pump
Footprint Sq. ft. Fire Sprinkler
On-site well Census Code 4 38
On-site sewage SAC Code o/
Census Bldg
Census Unit o
Building
Variance
?3 Footing
,Q Final
Assessments
El Framing ? Insulation
? Draintile ? Fireplace
Permit Fee
Surcharge
Plan Review
License
MWCC SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SJN Permit
S/W Surcharge
Treatment P1.
Road Unit
Park Ded.
Trails Ded.
Copies
Other
Total:
Yaluetim: $ Ob O
2 3 76
5AC X
SAC Units
•Certificate for: •
• Wally-ilafstad Bk: 71f76 tieritsge Enargy 8omea •
' 4655 Nichols Road .
Eagan, Mn, 55122 •.
DELMAR H. StHWANZ
Lwnofuwv[vo?i ? ?qC, . Rp' 11NW UnMr L&wu M rM Std! af MlnnnOtf
I 2978 - 546TH iTREET W. - WX M IIOfEY0U1R,M1lli1iOTA RON /'FWNE 4112 =347M
1SURYEYDR"8 CERTIfICJ1TE
t , ;;.CLOO ?Y S B2.
Scale: 1 inch - 30 feet ? N
d
.? o Denotes iron monvment 24 :2
? gs I
? z
i
4 F ?
O Denotes set wood hub 3•33
?18 Qq
Denotea existing elevatio? ??
? it ?
O Denotes propoaed elevatio ti Gar.
Proposed garage floor
elevation Propoeed
I Li N ? MHouee
4[ '?
-i N It?. !1
il Z Dtor P"B O
I aL.9'? o
i ?
Lot 6, Slock 1 S?
p?I Drainage and Util? I
£aeement ?
? ky,0 ?o• g?,.?{
I /?! B9 -Sy-yYF• 95.0?
? ...._ PRiz 1:'oz I a, 6E J?E'iJF_r ??'L
?
I hereby certify that this le a true and correet representation of Lot G, I3IoCk 1, f,ARKCLZFF SECOND ADDI'tIQN, accor6ing to the recorded
plat thereof, L'akota County, Minnesota,
Also st:oNin;; the location of a propoaed house as etaked thereon.
. ; / r' ?•
Nay 30 1'3ti4 ???.?•ry? ATION MINNESOTA qEGN0.l6
? 5 SI aq RESIDENTIAL
? BUILDING PERMIT APPLICATION
CITY OF EAGAN
Wl0-5 3830 PILOT KNOB RD, EAGAN MN 55122
657-681-4675
New Caiatructbn NeaulrameMe
• 9 registeretl sile surveys showing sq. ft of bt, sq. ft. of house; and AD roofed areas
(20% maximum bt coverege albwetl)
• 2 caples ot plan showinp beam 8 wintlaw sizes; poured tound tlesign, etc.)
• 1 setM Enerqy Cak;ulatans
• 3 coples ot Tree Prgggrvatlon Plan il bl platted afler 7/1193
• Rim,bist DetailOptbnsselectionsheet(bldgswah3arlessunft)
DATE
CI-4-D2
IrR guhemeMS ? ? -7 -7 _?
• 2 copies of plen
• lsetofEnergyCalculationsforheatetletlOtlions
• lsilesurveyfore%IeAoraddttrons&decks
• Indlqte tt home sarved by septic system for add'M1bns
VALUATION
SITE ADDRESS 4GCG'l oj&,??C.A MULTI-FAMILY BLDG _ Y 4-N
TYPE OF WORK 9WO&6Fti FIREPLACE(S) _ 0_ 1_ 2
APPLICANT
STREETADDRESS ?aay i IVtccllet W.io 5
TELEPHONE #NS01-6Wq CELL PHONE #
13wvis?nl?l° STATEMI?ZIP 33
FAX # CqSd?QOF> - t°?
PROPERTYOWNER Steve S-C?Y TELEPHONE#?I): Ubk =IT1a
COMPLETE THIS SECTION FOR °NEW- RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residentiel Ventilation Category 1 WoAcsheet Submitted • New Energy Code Worksheet Submdted
• Energy Envebpe Calculations Submitted
Piumbing Conhactor:
Plumbing system includes:
Mechanical Contractor.
Mechanical system includes:
Sewer/Water Conhactoe.
Phone ri
Phone #
Ir l?n15 11 ?'i L L',i
i nSEP 0 5 2002
i d?
?
igy Fee: $70.00
I hereby acknowledge that I have read mis appllcation, staTe that the information is correct and agree to comply
with all appllcable State of Minnesota Statutes and City of Eagan Or Inances.
Signaiure of Appllcant r6"'jy? cuqu ? ?>`
OFFICE USE ONLY
Certificates of Survey Received _ Tree Preservation Pian Received _ Not Required _
Updated 4102
_ Water Softener _
_ Water Heater _
_ No. of Baths
Phone #
Lawn Sprinkler
No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
OFFICE USE ONLY
? 01 Foundation O 07 05-plex ? 13 16-plex O 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Ak - Multi
? 03 01 of _ plex 13 09 07-plex ? 17 Garege ? 22 PorchlAddn. (4sea.) O 33 Ext. Ak - SF
0 04 02-plex O 10 08-plex ? 18 Deck ? 23 Porch (screened) ? 36 Mufti
? 05 03-plex ? 11 10-plex ? 19 Lower Level ? 24 Storm Damage
? 06 04-plex O 12 12-plex Pibg_Yor_ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (IMerior) ? 44 Siding
? 32 Addition ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (Bldg)• ? 43 Reroof ? 46 Windows/Doors
? 34 Replacement *Demolition (Entire Bldg only) • Give PCA handout to applicant
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const Width
REQl11RED INSPECTIONS
_ Footings (new bldg) _ FinaUC.O.
_ Footings (deck) _ Final/No C.O.
_ Footings (addi6on) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ Air/Gas Tests _ Final
_ Framing _ Siding Stucco Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (new/replacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Surcharge
Plan Review
MClES SAC
City SAC
Water Suppy & Storage
S&W Permit & 5urcharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Search
Copies
Other
Total
Aqob RESIDENTIAL
BUILDING PERMIT APPLICATION
orcJ oI 3830 PILOT KNOB RD, EAGAN MN 55122
' 651-681-4675
New Conavuctlon Naaulrements RemotleVReoalr ReoutremeMS / J
• 3 registered stle surveys shaxing sq. fl. of bt, eq. N. of house; andll mofed areas • 2 copies of plan
(20% maximum bt coverage albweA) . 1 set ol Energy Calculations for heated addAions
• 2 copies of plan showing beam @ windaw sizes; pouretl found design, elc.) • 1 site survey tor exierlar addHions & tlecks
• i set of Energy Cekutatbns • Intlkate 8 home served by septic system tor addtlbns
• 3 coples af Tree Preservatlon Plan B lot platted afler 7/1/93
• Rim Jolsl DeteB Optrons salectbn sheet (bqgs with 3 or less unfts)
DATE a'q -07,
NPE
RXo vv_
APPUCANT D,?w?-es?AN P??7t+..DNL+ C.o,.,Tw?.?xew-?
STREETADDRESS iz7-14-1 CITY9utzatsviL?rv STATEM't-J LP6 5 3'3
TELEPHONE # q52- -1o-t- 0159 CELL PHONE # 952-2q1- -5t- 13 FAX # RS-z-- ,'i? -U?`
PROPERTYOWNER S-rtvfi S-rA:s TELEPHONE# L5t-bei-"1`i42
COMPLETE THIS SECTION FOR %%NEWA RESIDENTIAL BUILDINGS ONLY
Energy Code Category _ MINNESOTA RULES 7670 CATEGORY 1 MINNESOTA RULES 7672
(4 submission type) • Residential Ventiletion Category 1 Worksheet Submitted • New Energy Code Worksheet Sudmitted
• Energy Envelope Calculations Submitted
Plumbing Contractor:
Plumbing system includes:
Mechanical Contractor:
Mechanical system includes:
Sewer/Water Conhactor:
Phone #
Phone #
SEP 0 5 2002
Fee $70.00
I hereby acknowledge thaT I have read this application, state that the information is correct, and agree to comply
with all applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signafure of Applicanf D"v"v `
OFFICE USE ONLY
Certiflcates of Survey Received _ Tree Preservation Plan Received _ Not Required _
Updated 4102
_ Water Softener
_ Water Heater
_ No. of Baths
VALUATION
MULTI-FAMILY BLDG _ Y ? N
_ FIREPLACE(S) _ 0 _ 1 _ 2
Phone #
_ Lawn Sprinkler
_ No. of R.I. Baths
_ Air Conditioning
_ Heat Recovery System
OFFICE USE ONLY
? 01 Foundation ? 07 DSplex ? 13 16-plex O 20 Pool O 30 Accessory Bldg
? 02 SF Dwelling O 08 06-plex ? 16 Fireplace O 21 Porch (3-sea.) ? 31 Ext. Aft - Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garege O 22 Porch/Addn. (4sea.) ? 33 Ext. Aft - SF
? 04 02-plex 0 10 08-plex ? 18 Deck O 23 Porch (screened) ? 36 Multi
? 05 03-plex ? 11 10-plex ? 19 Lower Level O 24 Storm Damage
? 06 04-plex 0 12 12-plex Plbg_Y or _ N ? 25 Miscellaneous
? 31 New ? 35 Int Improvement ? 38 Demolish (Interior) ? 44 Siding
? 32 Addilion ? 36 Move Bldg. ? 42 Demolish (FOUndation) ? 45 Fire Repair
? 33 Alteration ? 37 Demolish (81dg)" ? 43 Reroof ? 46 WindowslDoors
? 34 Replacement •Demolition (Entire Bldg only) - Glve PCA handout to applicaM
Valuation Occupancy MC/ES System
Census Code Zoning City Water
SAC Units Stories Booster Pump
Nbr. of Units Sq. Ft. PRV
Nbr. of Bldgs Length Fire Sprinklered
Type of Const W idth
REQUIRED INSPECTIONS
_ Footings(new bldg) _ FinaUC.O.
_ Footings(deck) _ FinaUNo C.O.
_ Footings (addition) _ Plumbing
Foundation HVAC
Drain Tile Other
Roof _ Ice & Water _ Final _ Pool _ Ftgs _ AirlGas Tests _ Final
_ Framing _ Siding SNcco _ Stone
_ Fireplace _ R.I. _ Air Test _ Final _ Windows (newlreplacement)
_ Insulation _ Retaining Wall
Approved By , Building Inspector
Base Fee
Suroharge
Plan Review
MC/ES SAC
City SAC
W ater Supply & Storage
S&W Permit & Suroharge
Treatment Plant
Plumbing Permit
Mechanical Permit
License Searoh
Copies
Other
Total
Certi£ieate for: •
Wally Hafstad Bk: 71l76
Herltage Energy Homea
4655 Nichols Road
Ea.gan, Mn, 55122
DELMAR H. SLHWANY
LANOgWR4EYOiY g , ?ML. RagisNmG UMW Laws of iMStete oi MlonHO/a
2976 - 146TH STREET W. - 80X M RdSEMpUMT. M1tNNE$OPA 55068 PHONff 812 423'170
l
I SURVBYtN1'8 CERTIPtCATE
I 9vPLu?' c?
I f32- a.,
Scale: 1 inch = 30 feet' ?30'
O Denotes iron monument
p Denotes set wood hub ?
q2•6 Denotea existing elevat
0 Denotes proposed elevat
Proposed garage floor •I ?
elevation
:i
t
N
Drainage and Ut311
Eseement
/a-
?_
b
Q'
a
?.
?E
?
j6,82
.1eAl
t
?
?
. ?
B
I.ot 6, Block 1
s
?'.
PA k! ic P, ! cs 4. C'
'f°fe3
T Y3ereby certify that this is a true and correct TE'pl°Eti@Y1t.AtiOfl of "
I,ot 5, Filock 1, PARRCLIFF 3ECflN.D ADUI'.CTON, aacording to Lhe reeorded
plat thereof, Dakota County, Nlinnesnta.
Alao snowing the location of a proposed house as atake ? he,xe n,
I1
May 3, 1584 t C/,?-- ? ?krfir? q_
MlNNE50TA RE418 AFIO?J NO.? '
f ?
?
'
4.'f ?z
p [8
9
n?r EI?X'•
----
? Propo
M
? M
fn
NvFi
/`
o -- -
ah,Q
r ` ..
l
?
? . n
EXTERIOR EIIV:,'*,C?E AVERAGE "L' C0111?JTATIQ:1
oWuFR
SI?E ADDRFSS WA-VG`Y'LL-q
CONTRACTOR_9?1'fk(a-E r
gtiE?t?f_1?omL-? T+)<- DATZ PHOYdE,4S,Z44.-TD
? ,(1
Deterc?ine working s uaxfe footage oP each.
1. Total exposed wall area nq. ft. x.19 ='3a P.,2
2. Total roof/ceiling area ..... p ,n sq. ft. z.04 - O•3
Total exposed -wall area above floor =??t? o
a. Total wall winCcwI area ................ L,a.y
b. Total door area ...................... 6?3•eo
c. Total sllding glass area . ...... ., p
d. Total fireplace orall area
e. Total wa?1 fracling area (average lOx)...?
f. Total net wa12 erea above floor ......:..??56•/
S. Total rlm joist aree .................
Total exposed fcu.^.dat2on s:ea ? ?}•?
h. Total foundstion window area ..........,f<nL 2
1. Total aet Soundation area above g°ade . 77,9
Dete^:,iine "U' value of each Nall segnPnt.
a. / ,. X nUi: . A'i ' ??
C. 63,G 7C "Uo`
C. O X°U" Q a p
D. C, X"U' o ? o
e.,?c X '.U,' ./? ? ?
-
f R ??t7?: ?
•OS/ `
q,??•? x "U•- _O'Vs - ,
h._!?• X ?'U' -G5
1. ? •? X ':U" • 3L
3 .................:...... ....................Tota1 ? ?5?.a•8
, If iten .Y3 is tne sa.Te as , or less than item /I, you have met the
intent of SBC 6006(c)2.
?'--
Si3c G oaGC J? •
/ z c?t
?•
?
?
Total exposed roof/ceiling area = japg,o
?. Total skyli5ht area .. ...... ... 0
k. Total roof/ceiling frar:Sng ar=a (average lOn ?Uro.?3
1. Total net insulated roo:/ceillnC area ....... yp9_'
Determine IV value for each roof/celling segnent.
J. U X"U'' O . O
. ?,yJ
k . /!?r, ?R X ` U"
x .:U1,
?I .........................................ToLal . 09 7 f/
If tota2 of }.'4 is the sa.:ne as, or Iess than E2, you have met the
intent of SBC 6006(c)1. 9&^ *V a? S/ < ,dZ yo,3 o53c 6oo6 ('c ?
Alterna*e Buiiding Envelope Desi,_,n '
To utilizs Lhe total envelope syster aethod, the values established
by the sun o° items #3 and M4 shall zot be greater than the sur. of
ltens #1 and 92.
i. _'?F"39-Z + z. slo.3
3 •.2ua ,6- + 4. a
.
FERMIT
CITY -OF EAGAN
383U Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: suILuzNc
Permit Number: 0 3 3 4 5 7
Date Issued: 0 9/ 2 5( 8 8
SI7E ADDRESS:
P.T.N.: 10-56701-960-01
4662 pARKRIDGE CT
LOTt 6 BLOCK: 1
PARKCLIFF 2ND
DESCRIPTION: REaonF/sroIHG
Bui-IW,€eS, Permit Type STORM DflMA6E
6pr.3?I d i,H.g?"Gi¢rk Type REPATit
434 RLT. RESTDENTIAL
?t
rta m ` . ' i' 7? ?iSA
?
g L?n
i' .
] ?u §'etv . F UR° a5 Pe-u?m.? ? ? > >. ?
4tt"?w'3Pwik.ac'?r?_ -? 3C_x ?'dw'fc9v'G',ic
yiAj44 _icR'rvjPY?
µtO?? '"g x :
??. v tlA9?4?m
3rt
? ? k g4? PP [,?? ?6
r40 'S,''?.R 'ere
" " &4
yPR°"^LQS.RR"* £yvb-ttT
w`I:?? ?? ia ?n sn
REMARKS:
FEE SUMMARY:
????'LT?S' - nPPiican? - 5i. LLt;. ?{?/NER' '
14501653 0006781 S`1'AT- STEVE
6316 BACMMAN CIR 4662 PARKRSDGE CT
INVER GRQVE HT5 MN 55077 EAGAN MN 65123
(612) 450-1653 {651}
j I hereby. ac.knowl,ed,ge tha-t-,e-X ha?`?.;,r?ad. 4t?C*`_?liat ?t'he .
cQrrectranei agr'ee ` Co co,irip,lY t,si=th aPPli?+?b1?
5t a:fu'=tAis Caty _`taf E0e??°e?:.E?rd"I ir?rre?s.-?
?1ta OJ L_?
APPLICANT/PERMITEE SIGNATURE SSUED BN' SIGNATURE
1998 B4JILDING PERMIT APPLICATION (RESIDENTIAL)
~ CITY OF EAGAN
3830 PII.OT KNOB RD - 65122
ea i.ab7s -9
New Canstrudion Reauirements
• 3 registered srte surveys
? 2 copies oT plans (inUude beam 8 window s¢es; poured fid. design; etc.)
? t energy calculatlons
? 3 copies of tree preservation plan iF lot platted aRer 711/93
roquired: _ Yes _ No
DATE: I? - / - / g
DESCRIPTION OF WORK:
RemodeUReoair Reauirements
? 2 copies oi plan
? 2 site surveys (exterior eddRians & decks)
? 1 energy ralculations tor heated addkions
CONSTRUCTION COS ,
?
d,
STREETADDRESS: &C I f -
LOT: ? BLOCK:
SUBD./P.I.D. #: ? L
Name: 57?1( 57611L-' Phone#: PROPERTY lasc Fvst
OWNER . , / / lI /Jor , i, s . ,/1,? ? ? . ?
Street
City 06dzy State: Zip:
Company: 141`1 2G? lc7U164/G12--S Phone#:
CONTRACTOR
Street Address:? zL/2 License #/q 761
City State: Zip: 5 r7?7 ?
??? r/-Y2cA-
ARCHITECT/
ENGINEER Company: Phone
Name: Registration #:
Street
City
Sewer & water licensed plumber (new construction ony):
and lot change is requested once pertnit is issued.
Zip:
Penalty applies when addr@ss chang
I hereby acknowledge that I have read this appliqtion and state that the infortnation is correct and agree to comply with all appiicabl
State of Minnesota Statutes and City of Eagan Ordinances. ,., _/01_,
Signature of Applicant:
OFFICE USE ONLY
Certificates of Survey Received _ Yes _ No
Tree Preservation Plan Received Yes No
State:
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex
? 02 SF Dwelling ? 07 4-plex
? 03 SF Addition O OS 8-plex
? 04 SF Porch ? 09 12-plex
O 05 SF Misc. ? 10 _-piex
WORK TYPE
? 31 New ? 33 Afterations
O 32 Addition ? 34 Repair
GENERAL INFORMATION
Const. (Actual) _
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
APPROVALS
Planning
? 11 Apt./Lodging ?
? 12 Multi RepaidRem. ?
? 13 Garage/Accessory ?
? 14 Fireplace ?
? 15 Deck
? 36 Move
? 37 Demolition
.r
16 Basement Finish
17 Swim Pool
20 Public Facility
21 Misceilaneous
Basement sq. ft.
Main level sq. ft,
sq. ft.
sq.ft.
sq.ft.
sq.ft.
Footprint sq. ft.
Building
MC/WS System
City Water
Fire Sprinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Census Unit
Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City 5AC
Water Conn.
Water Meter
Acct. Deposit
S/W Permit
S/W Surcharge
Treatment Pi.
Park Ded.
Trails Ded.
Other
Copies
Total:
Valuation: $
% SAC
SAC Units
2005 RESIDENTIAL PLl1MBING PERMIT APPLICATION
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN MN 55122
651-675-5675
Please complete for modifications to existing residential dwellings.
Date?_ l/ 5 l
Site Street Address L4? Unit #
Property Owner? Q, ?Sn? Telephone #o51 )Lai' 1 1?a
Contractox-s LV:R?l Vh-fl'e I Telephone# (lt? cJ(,b
Address `D_] 7) ' '- Itm City State? Zip`2u?
TBe Applicant is: _ Owner 'dontractor _Other
Alteretions to existing dwelling
_ Add plumbing fixtures (excludes water softener and/or water heater--complete next
section if installing these appliances).
_Septic System Abandonment
_Water Turnaround (add $125.00 if a 5!8" meter is required)
Other $ 50.00
? Water Softener _ Water Heater
_ new ? replacement $ 15.00
Lawn Irrigation _RPZ _PVB _new _repair _rebuild $ 30.00
State Surcharge $ .50
Total $ifL-2)
I hereby apply for a Residential Plumbing Permit and acknowledge that the information is complete
and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan and the plumbing codes; that I understand this is not a permit, but only an application for a
permit, work is not to start without a permit and work will be in accordance with the approved plan in
the event a plan is required to be reviewed and approve .
z._. lo `? :,? ? ?« n
ApplicanYs Printed Name A/ icanYs Signature I` `q L
`I i' ??+li G 1 6 2005 i,!
2006 RESIDENTIAL BUILDING PERMIT APPLICATION
O
City Of Eagan
3830 Pilot Knob Road, Eagan MN 55122
Telephone # 651-675-5675 FAX # 651-675-5694
New Constmction Reauirements
3 registered site surveys showing sq. ft of lot, sq. k. of house, and all roofed areas
(20 % maximum lot coverage allowed)
2 copies of plan showing beam & window sires; poured found design, etc.
1 sef of Energy Cak;uiations
3 copies of Trce PreservaLon Plan 'rf lot platted after 711193
Rim Joisf Deail OpGons selechon sheet (bmldings wAh 3 or less units) Minnegasco mechanipl ventilation form
RemodeUReoair Reauiremenis
2 copies of plan showing footings, beams, joists
1 set of Eneigy Calculations forheated additlons
1 site survey for additions & decks
AddRron - indlcafe Barsrte septic system
omea usio
tZErtof'Sgrvey?teGd Y? ;N
Tree Pres Pqn Reed T?,? ?i=_Y ?I',p?
TieeP..rasiteqylr`ed:; ..:y;?yN
Orf=SR4"$$pbcSY9ffiN!- :.. ?e_'Y N
Date u -1 Construction Cost?
SiteAddress po,fK 64P, (- p u.ft F-C.aan , mYv SJ? ??3 UniUSte #
DescriptionofWork?X,
S+?ra [??cIC t1?w? 0 5, B
A0 e.5 nut???= f , e
Toorih45 ?kNincReW?oo?'ine5 in
Multi-Family Bldg _ Y_ N Fireplace(s) _ 0 _ 1 _ 2
ert
Pro
Owner
j J
e cj
d Sh c;i c,V G?
Sp )6M'7p
! ya
el ph
ne#((
y
p u
,r\
e ,
o
? a
U
Contractor -
Address City
State Zip Telephone # ( )
S
COMPLETE THIS AREA ONLY IF COPISTRUCTING A NEW BUILDING
- Minnesota Rules 7670 Cate¢orv 1 Minnesota Rules 7672
Energy Code Category . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
(4 submissiontype) Submitted Submitted
• Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit far a similar plan based on a master plan?
_ Y _ N If yes, date and address of master plan:
Licensed Plumber
Mechanical Contractor
Sewer/Water Contractor
Telephone #(
Telephone #(
ielephone # (
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I hereby apply for a Residential Building Permit and acknowledge that the information is complete and accurate;
that the work will be in conformance with the ordinances and codes of the City of Eagan and the State of MN
Statutes; I understand this is not a permit, but only an application for a permit, and woxk is nof to start without a
permit; that the wark will be in accordance with the approved plan in the case of wark which requires a review and
approval of plans.
S'r e vQ S'?06, 4?6?w. 04 ,
ApplicanYs Printed Name ApplicanYs ignature
DO NOT WRITE BELOW THIS LINE
?
Su6 Tvpes
? 01 Foundation ? 07 05-plex ? 13 16-plex ? 20 Pool ? 30 Accessory Bldg
? 02 SF Dwelling ? 08 06-plax ? 16 Fireplace ? 21 Porch (3-sea.) ? 31 Ext. Alt- Multi
? 03 01 of _ plex ? 09 07-plex ? 17 Garage ? 22 Porch/Addn. (4-sea.) ? 33 Ext. Alt - SF
? 04 02-plex ? 10 08-plex A 18 Deck ? 23 Porch (screen/gazebo) ? 36 Multi Misc.
? OS 03-plex ? 11 10-plex ? 19 Lower Leve1 ? 24 Storm Damage
? 06 04-plex ? 12 12-plex ? 25 Miscellaneous
Work Tvpes
? 31 New ? 35 Int Improvement ? 38 Demolish Interior ? 44 Siding
? 32 Addition ? 36 Move Building ? 42 Demolish Foundation ? 45 Fire Repair
? 33 Alteration ? 37 Demolish Building` ? 43 Reroof ? 46 Windows/Doors
x 34 Replacement `Demolitfon (Entire Bldg) • Give PCA handout to applfeant
D@SCripfiOn: WaterDamage_ Yes
?
Valuation *?
Occupancy ? MCES System
?
Plan Review100% or _ 25% ?.
Census Code ?3Y Zoning T{ '! City Water
SAC Units ` Stories Booster Pump `
# of Units ? Sq. Ft. ? PRV ?
# of Bldgs - Length ? Fire Sprinkiered
Type of Const ? Width 3?
REQUIRED INSPECTIONS
Footings (new bldg) Sheetrock
? Footings(deck) ? FinaUC.O.
_ Footings (addition) _ Final/No C.O.
Foundation HVAC
Drain Tile Other
Roof
Ice & Water _ Final _ Pool Ftgs Au/Gas Tests Final
_
_ Framing _ Siding _ Stucco Lath _ Stone I,ath _Brick
_ Fireplace _ R.I. _ Air Test _ Final _ Windows
Insulation Retaining Wall
_ _
Approved By:
-------------------- , Building Inspector
--------- - - - ----- - ------ - -------------- - -- - -- - -- - -------------- - ---------- -
------ - - -- - -------- - -- - ----
Base Fee
Surcharge
Plan Review
MC/ES SAG
City SAC
Utility Connection Gharge
S&W Permit & Surcharge
Treatment Plant
license Search
Copies
Other
Total
.ate fcr: .
.afstad
ge Energy Homes
Richols Rosd
? ,s, Mn. 55122
DELMAR H. SCHWANZ
LANDfVRY[YOIIS I 1 IUC,
Rp'ItN!!! VnNi L*A', olf" lUle OI MInMWt•
I976 - 146TH STREET W. - OpX M ROiEM1061fT,MIt/iif0TA MO"
I ( ?SURVEYOR3 CERSIFIGATE
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Bk: 71f76
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30- /srE"
Scale: 1 inch a 30 Teet
1 ? I N
.? o Denotea iron monument Y
? O Denotes aet wood hub ?
Denotea existing elevatio v
? Denetes propaeed elevatio
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Proposed garage floor
elevation
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Drainage and Utllity
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I hereby certify triat this ia a true and correet representation ot
Lnt 6, Block 1, PAR}CCLIFF SECOND /IDDIR'ION, according to the recorded
plat thereof, L'akota County, Minneaata. -
A2so sF:n.rin;; the location of a propoaed houae ae ataked thereon.
NaY 3r 196'4
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, Y1 NNESOTA REGt ATION N0.18
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C1ty 0f EaiaIl
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax:(657)675-5694
2009 COMMERCIAL
Date: 311?0 ? 5heila Stai
Tenant:
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Y
I -
j Pertnit#: j
? Permit Fee:
i ?
? Date Received:
? Staff: I
- -----------''
PLUMBING PERMIT APPLICATION
4662 Parkridge Court
Suite #:
PROPERTY Eagan, NiN 55123
OWNER Name:_ 6516817942 Phone:
CONTRACTOR Name:NiOrbGOYYI PunmlnIZq License#: Ol0I52I PVn
Address: Z'IDS tN,/TIC?L )V. S.City: mp« State:%19 Zip: 55yQ0
Phone:fkI2? DZ?-4033 Contact Person:
TYPE OF
WORK New x Replacement _ Repair ReBuild _ Modify Space Work in R.O.W.
- -
- -
,A 1
Oescription of work:r'I.W?.QJ t/?/C(,` &r (.Q, &r
PERMIT TYPE COMMERC/AL
_ New Construction Modify Space
_ Irrigation System (_ yes /_ no) L__ RPZ /_ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turho required unless smaller size allowed by Public Works)
_ Meters Call (651) 675-5646 to verity that tests passed prior to pickina uo meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter 203.00
Avg. GPM High demand devices? Yes No Flushometers Yes No
COMMERC/AL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract Value $ x 1%
Pettnit Fee
Required on ALL new buildings and boulevard irrigation systems 4_$ Radlo Meter Read
- If Permit Fee is less than $1,000, surcharge is $.50 =$ Meter(s)
- If Perrnit Fee is> $1,000, surcharge increases 6y $.50 tor each $1,000
$7,000 Permit Fee (i.e. a$1,001-$2,p00 Permit Fee requires a$1.00 surcharge). _$ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ Water Permit
Call the City's Engineering Oepartment, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ • So State Surcharge
TOTAL FEES $ LO !5-0
i nereoy acKnowieoge ma[ rnis imormation is compie[e antl accurate; that the work will be in conformance wi[h the ordinances and codes of the City of Eagan; lha[
I understand [his is not a permit, 6ut only an application for a perrnit, and work is not to s[art wi[hout a permit; that tha work will be in accordance with the approved
plan in [he case of work which raquires a review and approval of plans.
xJfiW1-. N orb l owL, X
AppllcanYs Prln ed Name A icanYs Signature
Page 1 of 3
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ForO iffceU
{ _l ~ ~ I Permit
3830 Pilot Knob Road I Permit Fee:
Eagan MN 55122 I
Phone: (651) 675-5675 Date Received:
Fax: (651) 675-5694 I Cam"'
Staff:
2009 COMMERCIAL PLUMBING PERMIT APPLICATION
Date: 31"7 o Sheila Stai
Tenant: 4662 Parkridge Court Suite
PROPERTY Eagan, MIST 55123
OWNER Name: _ 6516817942 Phone:
CONTRACTOR Name: \.Jor 19 tam PtW?2121(q License OLoI 52.1 pr
Address: 2M05 ba q " )N.S.City: r')1pt.3 Stater Zip: 55,409
Phone: ((4412) (M- 033 Contact Person:
TYPE OF -New X Replacement _Repair -Rebuild _ Modify Space _ Work in R.O.W.
WORK Description of work: r rq,Cei vvcL1 ear' 11 €a er
PERMIT TYPE COMMERCIAL
New Construction Modify Space
Irrigation System ( yes/ -no) RPZ PVB)
• Rain sensors required on irrigation systems
• Avg. GPM (2" turbo required unless smaller size allowed by Public Works)
Meters Call (651) 675-5646 to verity that tests passed prior to picking up meter.
Domestic: Size & Type Fire: Size & Price 3/4" meter $203.00
Avg. GPM High demand devices? _Yes No Flushometers _Yes No
COMMERCIAL FEES:
$50.50 Minimum (includes State Surcharge) OR Contract Value $ x1%
_ $ Permit Fee
Required on ALL new buildings and boulevard irrigation systems 4 = $ Radio Meter Read
If Permit Fee is less than $1,000, surcharge is $.50 = $ Meter(s)
If Permit Fee is > $1,000, surcharge increases by $.50 for each $1,000
$1,000 Permit Fee (i.e. a $1,001-$2,000 Permit Fee requires a $1.00 surcharge). = $ State Surcharge
Following fees apply when installing a new lawn irrigation system. $ 5d .Co Water Permit
Call the City's Engineering Department, (651) 675-5646, for required fee amounts.
$ Treatment Plant
$ Water Supply & Storage
$ • 5o State Surcharge
TOTAL FEES $ 50
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of Eagan; that
I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in accordance with the approved
plan in the case of work which requires a review and approval of plans.
x J rut L- - N of t CYN~ x
Applicant's Prin ed Name A icant's Signature
FOR OFFICE USE Approved By: Date:
Required Inspections: Under Ground Rough-ln Air Test Gas Test Final
P, kV Re uired: Y a s No
Page 1 of 3
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